系统护理对高压氧联合整复手术治疗唇裂患儿康复效果的影响

Clinical observation on the effect of systematic nursing on the treatment of harelip with HBO coupled with surgery repair in baby patients

目的探讨系统护理对唇裂患儿术后唇组织结构畸变及唇部伤口疤痕的影响。方法分析影响唇裂手术后伤口畸变及皮肤疤痕形成的因素，有针对性地提出了唇裂手术伤口系统护理的方法，主要包括高压氧辅助下的伤口持续性减张、使用上皮生长因子湿敷、持续性地保持伤口清洁3个方面。结果经临床使用和统计学分析比较发现，系统护理组唇组织恢复率（96．5％）明显高于对照组（83．7％），手术疤痕恢复情况明显优于对照组（P〈0．05）。结论系统护理方法设计合理，实用性强，效果显著，值得临床推广应用。

Objective To solve the problem of lip disfigurement through nursing of local wound derived from harelip suture in the healing process and the problem of the lip scar affecting facial feature. Methods Factors affecting wound disfigurement and scar formation following harelip suture were analyzed. Systematic nursing methods were purposely put forward for the care of wound following surgery repair, including： persistent wound relaxation with adjacent HBO treatment, wet dressing with epidermal growth factor and maintenance of clean wound surface. Results Clinical application and statistical analysis showed that the proposed systematic nursing methods （96.5 % ） were obviously superior to traditional methods （83.7%）, in that they solved the problem of persistent wound relaxation that traditional methods had failed to solve, following harelip suture, and good therapeutic effects were achieved. Conclusions The proposed systematic nursing methods are well designed, have good practicality and obviously good therapeutic effect, which is worthy of clinical extension and application.